Organization
LAKEVIEW REHABILITATION AND NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOISHE GUBIN (OWNER)
(708) 449-1900
Entity
Organization
Contact information
Practice address
735 W DIVERSEY PKWY, CHICAGO, IL 60614-2337
(773) 348-4055
Mailing address
735 W DIVERSEY PKWY, CHICAGO, IL 60614-2337
(773) 348-4055
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0051524
IL
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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